Shannon L Jacoby, OTR

NPI #1730412099 in Defiance, Ohio

Provider Information

NPI Number: 1730412099
Entity Type: Individual
Name: Shannon L Jacoby, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Sep 17, 2009
Last Updated: Aug 17, 2015

Practice Location

Address: 1400 E 2ND ST
City: Defiance
State: Ohio
ZIP Code: 43512-2440
Phone: (419) 783-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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